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Development of Nutrition Education Contents for Pregnant Women Based on Effective Communication Strategies


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Development of Nutrition Education Contents for Pregnant Women Based on Effective Communication Strategies

Article information

Korean J Community Nutr. 2017;22(2):115-126
Publication date (electronic) : 2017 April 30
doi : https://doi.org/10.5720/kjcn.2017.22.2.115
Taeksang Yoo1, Young-Hee Han2, Jung Hyun Kim3, Min Jun Lee4, Taisun Hyun2orcid_icon
1The Graduate School of Life Style Design, Sookmyung Women's University, Seoul, Korea.
2Department of Food and Nutrition, Chungbuk National University, Cheongju, Korea.
3Department of Home Economics Education, PaiChai University, Daejeon, Korea.
4Graduate School of Education, Yonsei University, Seoul, Korea.
Corresponding author: Taisun Hyun. Department of Food and Nutrition, Chungbuk National University, Cheongju, Chungbuk, 28644, Korea. Tel: (043) 261-2790, Fax: (043) 267-2742, taisun@chungbuk.ac.kr
Received 2017 April 10; Revised 2017 April 23; Accepted 2017 April 26.

Abstract

Objectives

The purpose of the study was to develop communication strategies for effective nutrition education targeting pregnant women and to create nutrition education contents.

Methods

The format and the contents of online resources on nutrition information for pregnant women provided by reliable institutions were analyzed. Possible solutions to overcome barriers of nutrition education as well as communication strategies for effective nutrition education were identified by a brainstorming process. Based on the communication strategies, contents for nutrition education were created. Understandability, level of interest, applicability to daily life, harmony of text and illustration, and overall satisfaction of the contents were evaluated by dietitians and pregnant women.

Results

The four communication strategies were developed; (1) to focus on a few important messages, (2) to provide evidence-based information, (3) to create illustrations or infographics with a minimum amount of text, and (4) to provide tips on how to improve the current diet options. Based on these strategies, the contents were focused on three important nutrients for pregnant women, folate, iron, and calcium. The percentages of the recommended nutrient intakes of the three nutrients on selected menu and its improved version by adding a dish or changing a dish into another dish were calculated and provided. Finally, the contents were delivered as illustrations with a minimum amount of text. Overall, dietitians and pregnant women were satisfied with the contents.

Conclusions

The contents developed in this study can be used in a pamphlet or a pregnancy diary, or can be shared in social networking services. Further contents on other nutrients and various menu are expected to be developed using these communication strategies.

Keywords: pregnant women; nutrition education; folate; iron; calcium

Acknowledgments

This study was supported by the Ministry of Food and Drug Safety in 2016.

References

1. Hanson MA, Bardsley A, De-Regil LM, Moore SE, Oken E, Poston L. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: “Think Nutrition First”. Int J Gynaecol Obstet 2015;131(S4):S213–S253.
2. Statistics Korea. 2015 Annual Report of Live Births and Deaths Statistics (Based on vital registration) [Internet] Statistics Korea; 2016. cited 2017 Mar 3. Available from: http://kosis.kr/ups/ups_01List.jsp.
3. Lamichhane DK, Leem JH, Park M, Kim JA, Kim HC, Kim JH. Increased prevalence of some birth defects in Korea, 2009-2010. BMC Pregnancy Childbirth 2016;16(1):61.
4. Lee SL. Trend and policy issue of abnormal birth. Health Welfare Issue Focus 251 [Internet] Korea Institute for Health and Social Affairs; 2014. cited 2017 Mar 3. Available from: http://www.kihasa.re.kr/html/jsp/publicaion/periodical/focus/list.jsp.
5. Korea Health Industry Development Institute. Dietary intake survey of physiologically vulnerable population for risk assessment [Internet] Korea Health Industry Development Institute; 2014. cited 2017 Mar 15. Available from: https://www.khidi.or.kr/board/view?pageNum=2&rowCnt=10&no1=78&linkId=100750&menuId=MENU00085&maxIndex=00001786749998&minIndex=00001000799998&schType=1&schText=&boardStyle=&categoryId=09&continent=&country=.
6. Choi AR. Folate intake and food sources in the Korean population based on 2008-2009 Korea National Health and Nutrition Examination Survey [master's thesis] Chungbuk National University; 2012.
7. Kim JE, Park DY. A study on pregnant women's experience about nutrition education. Korean J Community Living Sci 2012;23(3):347–356.
8. Bookari K, Yeatman H, Williamson M. Falling short of dietary guidelines - What do Australian pregnant women really know? A cross sectional study. Women Birth 2017;30(1):9–17.
9. Lee SY. A study on third-trimester gravidas' knowledge of infant care activity. Korean Nurse 1990;29(3):64–77.
10. Kim SB, Kim JW, Kim MH, Cho YS, Kim SN, Lim HS. A study on consumer's needs for development of diet guide application for pregnant women. Korean J Community Nutr 2013;18(6):588–598.
11. Wang HJ, Park HS, Kim IO. Comparison of prenatal health management state and educational needs for pregnant women with advanced maternal age and under the age of 35. Korean J Women Health Nurs 2013;19(4):230–241.
12. Kim MJ. Nutritional status, eating habit, knowledge level and obstetric outcome in pregnant women with old age [master's thesis] Hanyang University; 2014.
13. Lee SL. A study on the management and support of maternal health before pregnancy for women of childbearing age [Internet] Korea Institute for Health and Social Affairs; 2013. cited 2017 Mar 3. Available from: https://www.kihasa.re.kr/web/publication/newbooks_pdsissue/view.do?menuId=43&tid=71&bid=18&ano=1665.
14. Peregrin T. Understanding millennial grocery shoppers' behavior and the role of the registered dietitian nutritionist. J Acad Nutr Diet 2015;115(9):1380–1381.
15. Chun KW. A literature review on the brainstorming. J Creativity Educ 1997;1(1):29–64.
16. National Institute of Agricultural Sciences. Food composition table 8th revisionth ed. Suwon: National Institute of Agricultural Sciences; 2011.
17. Ministry of Health and Welfare, The Korean Nutrition Society. Dietary reference intakes for Koreans 2015 Sejong: Ministry of Health and Welfare; 2015.
18. Choi HJ. A study on use of eating out and nutrition labeling of pregnant women in Ulsan [master's thesis] Ulsan University; 2009.
19. Kim JH, Lee EJ, Hyun T. Dietary folate intake and food sources of children and adolescents in Chungcheong area: Using nutrient database revised by measured folate in selected foods. J Nutr Health 2015;48(1):94–104.
20. Hwang JY, Lee JY, Kim KN, Kim H, Ha EH, Park H. Maternal iron intake at mid-pregnancy is associated with reduced fetal growth: results from Mothers and Children's Environmental Health (MOCEH) study. Nutr J 2013;12(1):38.
21. Kim H, Kim KN, Hwang JY, Ha EH, Park H, Ha M. Relation between serum folate status and blood mercury concentrations in pregnant women. Nutr 2013;29(3):514–518.
22. Kim MR, Hyun TS. Satisfaction of Nutri-Plus program and improvement of nutritional status among the participants in Cheongju. J Hum Ecol 2012;16(1):105–114.
23. Kim T, Park S. A study on effects of elementary school students' use of smart phone upon reading and self-regulated reading. J Korean Assoc Inf Edu 2014;18(3):433–442.
24. Yoon KH, Jung KH, Choi IS, Choi HS. Features of Korean webtoons through the statistical analysis. Cartoon Animat Stud 2015;38:177–194.
25. Jung SY. Analysis of the current utilization situation and type of the card news of the big data era. J Korean Soc Des Cult 2015;21(4):609–620.

Article information Continued

Copyright © 2017 The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : Ministry of Food and Drug Safetyhttp://dx.doi.org/10.13039/501100003569

Fig. 1

Fig. 1

Pregnant women's barriers to implement nutrition education and possible solutions to overcome the barrier

Fig. 2

Fig. 2

Contents to give tips for improving the intakes of key nutrients for pregnant women

Table 1

Online resources of nutrition information provided by reliable institutions

Table 1

Table 2

Number of pages of the contents including text and illustration on energy and nutrients for pregnant women

Table 2

1) Ministry of Health and Welfare·The Korean Nutrition Society, 2015 [17]

2) Korea Health Industry Development Institute, 2014 [5]

3) The size of the page can be adjusted depending on the type of education media.

Table 3

Nutrient content of selected menu and its improved menu presented as percentage of Recommended Nutrient Intake of pregnant women

Table 3

1) Percentage of Estimated Energy Requirement or Recommended Nutrient Intake for pregnant women (19-29 y, second trimester, energy 2,440 kcal, folate 620 µg, iron 24 mg, calcium 700 mg)

Table 4

Evaluation of the contents by dietitians (n=12) and pregnant women (n=11)

Table 4

1) N (%)

2) Mean±SD (5=strongly agree, 4=agree, 3=neutral, 2=disagree, 1=strongly disagree)